Name/Gender Update Request

Name/Gender Update Request

To ensure the accuracy and privacy of your record, the Department of Student Registration requires a written authorization to make changes or corrections to the name listed in your student account.
Student's LASID # *
FPS Student ID # 6 digits
Student's date of birth*

MonthDayYear
Date
Name of the School Currently attending*
For official name or gender change please upload the New Birth Certificate / Adoption Decree / Court Order

Cancelof
UPDATED NAME
FROM:

First NameMiddle NameLast Name
TO:

First NameMiddle NameLast Name
UPDATED GENDER
Our records require one of these binary gender choices in order to comply witith state and federal reporting requirements.However, students may define their gender identity in their own words.

MaleFemaleNonbinary
Name of the person filling out this form*

First NameLast Name
Relationship to the student*
Email*
example@example.com
Signature:*
Today's date:*

MonthDayYear
Date
Hour MinutesAM/PM Option
FRAMINGHAM PUBLIC SCHOOLS
DEPARTMENT OF STUDENT REGISTRATION
19 Flagg Drive Door 33 – Framingham MA 01702
Phone: 508-424-3420 Fax: 508-876-3446
Should be Empty: